"My Voice is who I am" - Vocal Improvisation Group Work with Healthy Community-Dwelling Older Adults

Authors

  • Aviya Riabzev Bar-Ilan University, Israel
  • Ayelet Dassa Bar-Ilan University, Israel
  • Ehud Bodner Bar-Ilan University, Israel

DOI:

https://doi.org/10.15845/voices.v22i1.3125

Keywords:

Community-dwelling, older adults, music therapy, vocal improvisation, well-being.

Abstract

Background: Vocal improvisation is known as beneficial in promoting well-being, yet not much is known about using vocal improvisation with healthy older adults. While the emphasis in music therapy on studying interventions with clinical populations of older adults is important, the challenges and stressors facing healthy older adults require more investigation.

Methods: This qualitative study analyzed the experiences of 54 older adults, ranging between 60 and 93 years (M=71.07), who participated in 12 weekly vocal improvisation group meetings that incorporated various voice improvisation techniques. Data was gathered using qualitative semi-structured group interviews with 12 focus groups (pre- and post-intervention).

Results: A qualitative content analysis revealed that the vocal improvisations created the sense of an open space where participants could express and explore their own voices. The intervention has changed their attitudes regarding their own voices and led to meaningful personal experiences and new self-discoveries. The participants described experiencing a significant emotional process during the group work and reported experiencing self-exploration, and improvements in their self-beliefs, attitudes regarding their own voices, and their well-being.

Conclusions: Vocal improvisation group intervention was experienced as beneficial for the well-being of healthy community-dwelling older adults.

Author Biographies

Aviya Riabzev, Bar-Ilan University, Israel

Aviya Riabzev. Music Therapist, Ph.D., Graduated Music therapy Ph.D program at Bar-Ilan University, Israel. Aviya has clinical experience working with children with autism, women coping with sexual abuse, and with older adults. Her research focuses on the impact of vocal group work on the well-being of older adults and on women coping with complex PTSD.

Ayelet Dassa, Bar-Ilan University, Israel

Ayelet Dassa. Music Therapist, Ph.D., Head of Music Therapy M.A Program at Bar-Ilan University. Teaches in different programs of geriatric training, has been working with people with dementia for the past twenty years, and has experience with stroke patients, Parkinson disease and chronic psychiatric elderly. Her research focuses on the effect of music on people with dementia and their family caregivers in nursing home settings and at home.

Ehud Bodner, Bar-Ilan University, Israel

Ehud Bodner. A full professor of psychology, the head of the Interdisciplinary Department of Social Sciences and staff member at the Department of music - at Bar Ilan University, Israel. A Clinical and a Medical Psychologist and a supervisor in both fields with vast clinical experience working with younger and older patients, suffering from various anxiety disorders, somatization, depression, and personality disorders. In the field of music he is mainly focused on emotion regulation through music in young and older adults. He also concentrates on models delineating the relationship between ageism and other perceptions of aging, personal resources and various aspects of health and mental health among older adults, and tries to uncover factors associated with end of life anxieties, and with time perceptions. His studies include longitudinal designs and diaries. Thus far he has published over 120 articles in peer-reviewed journals and 9 chapters in books.

References

Acocella, I. (2012). The focus groups in social research: Advantages and disadvantages. Quality & Quantity, 46(4), 1125-1136. https://doi.org/10.1007/s11135-011-9600-4

Adler, R. K., Antoni, C., Hirsch, S., & Mordaunt, M. (2012). Vocal health and phonotrauma. Plural Publishing.

Ahessy, B. (2016). The use of a music therapy choir to reduce depression and improve quality of life in older adults - A randomized control trial. Music and Medicine, 8(1), 17-28.

Anderson, S., Fast, J., Keating, N., Eales, J., Chivers, S., & Barnet, D. (2017). Translating knowledge: Promoting health through intergenerational community arts programming. Health Promotion Practice, 18(1), 15-25.

Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11(1), 11-18. https://doi.org/10.1093/heapro/11.1.11

Austin, D. (2001). In search of the self: The use of vocal holding techniques with adults traumatized as children. Music Therapy Perspectives, 19(1), 22-30. https://doi.org/10.1093/mtp/19.1.22

Austin, D. (2002). The voice of trauma: A wounded healer’s perspective. In J. Sutton (Ed.), Music, music therapy, and trauma: International perspectives (pp. 231-259). Jessica Kingsley Publishers.

Austin, D. (2009). The theory and practice of vocal psychotherapy: Songs of the self. Jessica Kingsley Publishers.

Ayalon, L., & Tesch-Römer, C. (2017). Taking a closer look at ageism: Self-and other-directed ageist attitudes and discrimination. European Journal of Ageing, 14, 1-4. https://doi.org/10.1007/s10433-016-0409-9

Baker, F., & Uhlig, S. (2011). Voicework in music therapy: Research and practice. Jessica Kingsley Publishers.

Batt-Rawden, K. B., DeNora, T., & Ruud, E. (2005). Music listening and empowerment in health promotion: A study of the role and significance of music in everyday life of the long-term ill. Nordic Journal of Music Therapy, 14(2), 120–136. https://doi.org/10.1080/08098130509478134

Bodner, E. (2009). On the origins of ageism among older and younger adults. International Psychogeriatrics, 1(6), 1003-1014. https://doi.org/10.1017/S104161020999055X

Bodner, E., Palgi, Y., & Kaveh, D. (2012). Does the relationship between affect complexity and self-esteem differ in young-old and old-old participants? Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(5), 665-673. https://doi.org/10.1093/geronb/gbs095

Bojner-Horwitz, E. (2018). Humanizing the working environment in health care through music and movement. In L. O. Bonde & T. Theorell (Eds.), Music and public health: A Nordic perspective (pp. 187–199). Springer. https://doi.org/10.1007/978-3-319-76240-1_12

Bourdeau, B. (2000). Dual relationships in qualitative research. The Qualitative Report, 4(3), 1-6. Retrieved from http://nsuworks.nova.edu/tqr/vol4/iss3/7

Carstensen, L. L., Pasupathi, M., Mayr, U., & Nesselroade, J. R. (2000). Emotional experience in everyday life across the adult life span. Journal of Personality and Social Psychology, 79(4), 644-655. https://psycnet.apa.org/doi/10.1037/0022-3514.79.4.644

Chiang, K. J., Chu, H., Chang, H. J., Chung, M. H., Chen, C. H., Chiou, H. Y., & Chou, K. R. (2010). The effects of reminiscence therapy on psychological well‐being, depression, and loneliness among the institutionalized aged. International Journal of Geriatric Psychiatry: A Journal of the Psychiatry of Late Life and Allied Sciences, 25(4), 380-388. https://doi.org/10.1002/gps.2350

Clair, A., & Memmott, J. (2008). Therapeutic uses of music with older adults. American Music Therapy Association.

Clements-Cortés, A. (2017). Artful wellness: Attending a chamber music concert reduces pain and increases mood and energy for older adults. The Arts in Psychotherapy, 52, 41–49. https://doi.org/10.1016/j.aip.2016.10.001

Coffman, D. D. (2002). Music and quality of life in older adults. Psychomusicology: A Journal of Research in Music Cognition, 18(1-2), 76–88. https://doi.org/10.1037/h0094050

Cohen, G. D., Perlstein, S., Chapline, J., Kelly, J., Firth, K. M., & Simmens, S. (2007). The impact of professionally conducted cultural programs on the physical health, mental health, and social functioning of older adults: Two-year results. Journal of Aging, Humanities, and the Arts, 1, 5–22. https://doi.org/10.1080/19325610701410791

Conneeley, A. L. (2002). Methodological issues in qualitative research for the researcher/practitioner. British Journal of Occupational Therapy, 65(4), 185-190. https://doi.org/10.1177%2F030802260206500406

Courtin, E., & Knapp, M. (2017). Social isolation, loneliness, and health in old age: A scoping review. Health & Social Care in the Community, 25(3), 799-812. https://doi.org/10.1111/hsc.12311

Creech, A., Hallam, S., McQueen, H., & Varvarigou, M. (2013). The power of music in the lives of older adults. Research Studies in Music Education, 35, 87–102. https://doi.org/10.1177/1321103X13478862

Dassa, A. (2018). Musical Auto-Biography Interview (MABI) as promoting self-identity and well-being in the elderly through music and reminiscence. Nordic Journal of Music Therapy, 27(5), 419-430. https://doi.org/10.1080/08098131.2018.1490921

DeNora, T. (2000). Music in everyday life. Cambridge University Press. https://doi.org/10.1017/CBO9780511489433

DuBois, D. L., Flay, B. R., & Fagen, M. C. (2009). Self-esteem enhancement theory: Promoting health across the lifespan. In R. J. DiClemente, R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research (pp. 97-130). Jossey-Bass/Wiley.

Ermer, A. E., York, K., & Mauro, K. (2021). Addressing agism using intergenerational performing arts interventions. Gerontology & Geriatrics Education, 42(3), 308-315.

Finnegan, R. (2012). Music, experience and the anthropology of emotion. In M. Clayton, T. Herbert, & R. Middleton (Eds.), The cultural study of music: A critical introduction (pp. 181–192). Routledge.

Gabrielsson, A. (2002). Old people’s remembrance of strong experiences related to music. Psychomusicology: A Journal of Research in Music Cognition, 18(1-2), 103-122. https://doi.org/10.1037/h0094048

Hays, T., & Minichiello, V. (2005). The meaning of music in the lives of older people: A qualitative study. Psychology of Music, 33, 437–451. https://doi.org/10.1177/0305735605056160

Harter, S. (2006). The development of self-esteem. In M. H. Kernis (Ed.), Self-esteem issues and answers: A sourcebook of current perspectives (pp. 144-150). Psychology Press.

Jackson, D. A. (2016). Exploring aging masculinities: The body, sexuality and social lives. Palgrave Macmillan.

Johnson, M. (2007). The meaning of the body: Aesthetics of human understanding. University of Chicago Press. https://doi.org/10.7208/chicago/9780226026992.001.0001

Juslin, P. N., & Sloboda, J. A. (2010). The past, present, and future of music and emotion research. In P. N. Juslin, & J. A. Sloboda (Eds.), Handbook of music and emotion: Theory, research, applications (pp. 933-955). Oxford University Press.

Kobau, R., Seligman, M. E., Peterson, C., Diener, E., Zack, M. M., Chapman, D., & Thompson, W. (2011). Mental health promotion in public health: Perspectives and strategies from positive psychology. American Journal of Public Health, 101(8), e1-e9. https://doi.org/10.2105/AJPH.2010.300083

Kenny, C. (2014). The field of play: An ecology of being in music therapy. Voices: A World Forum for Music Therapy, 14(1). https://doi.org/10.15845/voices.v14i1.737

Kohlbacher, F. (2005). The use of qualitative content analysis in case study research. Forum: Qualitative Social Research, 7(1). https://doi.org/10.17169/fqs-7.1.75

Krok, D. (2015). The role of meaning in life within the relations of religious coping and psychological well-being. Journal of Religion and Health, 54(6), 2292-2308. https://doi.org/10.1007/s10943-014-9983-3

Levy, B. (2009). Stereotype embodiment: A psychosocial approach to aging. Current Directions in Psychological Science, 18(6), 332-336. https://doi.org/10.1111/j.1467-8721.2009.01662.x

Lindblad, K., & de Boise, S. (2019). Musical engagement and subjective wellbeing amongst men in the third age. Nordic Journal of Music Therapy, 29(1), 1-19. https://doi.org/10.1080/08098131.2019.1646791

Loewy, J. (2004, March). Integrating music, language and the voice in music therapy. Voices: A World Forum for Music Therapy, 4(1). https://doi.org/10.15845/voices.v4i1.140

MacDonald, R. A. R., Hargreaves, D. J., & Miell, D. (2002). What are musical identities, and why are they important? In R. A. R. MacDonald, D. J. Hargreaves, & D. Miell (Eds.), Musical identities (pp. 1-20). Oxford University Press.

MacIntosh, H. B. (2003). Sounds of healing: Music in group work with survivors of sexual abuse. The Arts in Psychotherapy, 30(1), 17-23. https://doi.org/10.1016/S0197-4556(02)00229-0

Mann, M. M., Hosman, C. M., Schaalma, H. P., & De Vries, N. K. (2004). Self-esteem in a broad-spectrum approach for mental health promotion. Health Education Research, 19(4), 357-372. https://doi.org/10.1093/her/cyg041

Marchand, D. L. P., & Bonamigo, A. W. (2015). Voice speech therapy in the aged: Exploratory systematic review of literature. Distúrbios Comun, 27(2), 309-17.

Mohammadi, A. Z., Shahabi, T., & Panah, F. M. (2011). An evaluation of the effect of group music therapy on stress, anxiety, and depression levels in nursing home residents. Canadian Journal of Music Therapy, 17, 55–68.

Newham, P. (1998). Therapeutic voicework: Principles and practice for the use of singing as a therapy. Jessica Kingsley Publishers.

Noice, T., Noice, H., & Kramer, A. F. (2013). Participatory arts for older adults: A review of benefits and challenges. The Gerontologist, 54(5), 741-753. https://doi.org/10.1093/geront/gnt138

Oddy, N. (2011). A field of vocal discovery. In F. Baker & S. Uhlig (Eds.), Voicework in music therapy: Research and practice (pp. 83-99). Jessica Kingsley Publishers.

O'Loughlin, P. (1995). Meetings with the unsounded voice. In C.B. Kenny (Ed.), Listening, playing, creating: Essays on the power of sound (pp. 161-175). State University of New York Press.

Ong, A. D., & Bergeman, C. S. (2004). The complexity of emotions in later life. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59(3), P117-P122. https://doi.org/10.1093/geronb/59.3.P117

Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115-144. https://doi.org/10.1037/1089-2680.1.2.115

Patel, N. K., Akkihebbalu, S., Espinoza, S. E., & Chiodo, L. K. (2011). Perceptions of a community-based yoga intervention for older adults. Activities, Adaptation & Aging, 35(2), 151-163. https://doi.org/10.1080/01924788.2011.574256

Ready, R. E., & Robinson, M. D. (2008). Do older individuals adapt to their traits? Personality–emotion relations among younger and older adults. Journal of Research in Personality, 42(4), 1020-1030. https://doi.org/10.1016/j.jrp.2008.02.004

Ready, R. E., Robinson, M. D., & Weinberger, M. (2006). Age differences in the organization of emotion knowledge: Effects involving valence and time frame. Psychology and Aging, 21(4), 726-736. https://psycnet.apa.org/doi/10.1037/0882-7974.21.4.726

Robertson, S., & Monaghan, L. F. (2012). Embodied heterosexual masculinities, part 2: Foregrounding men’s health and emotions. Sociology Compass, 6(2), 151-165. https://doi.org/10.1111/j.1751-9020.2011.00443.x

Rogers, C. R. (1961). On becoming a person. Houghton Mifflin.

Russell, R. (2004). Social networks among elderly men caregivers. The Journal of Men’s Studies, 13(1), 121–142. https://doi.org/10.3149/jms.1301.121

Ruud, E. (2013). Can music serve as a “cultural immunogen”? An explorative study. International Journal of Qualitative Studies on Health and Well-being, 8(1), 1–12. https://doi.org/10.3402/qhw.v8i0.20597

Seidler, V. J. (2007). Masculinities, bodies, and emotional life. Men and Masculinities, 10(1), 9-21. https://doi.org/10.1177/1097184X07299636

Skingley, A., Clift, S., M., Coulton, S. P., & Rodriguez, J. (2011). The effectiveness and cost-effectiveness of a participative community singing programme as a health promotion initiative for older people: Protocol for a randomized controlled trial. BMC Public Health, 11, Article 142. https://doi.org/10.1186/1471-2458-11-142

Stige, B., Malterud, K., & Midtgarden, T. (2009). Toward an agenda for evaluation of qualitative research. Qualitative Health Research, 19(10), 1504–1516. https://doi.org/10.1177/1049732309348501

Tamplin, J., Baker, F. A., Jones, B., Way, A., & Lee, S. (2013). ‘Stroke a Chord’: The effect of singing in a community choir on mood and social engagement for people living with aphasia following a stroke. NeuroRehabilitation, 32(4), 929-941. https://doi.org/10.3233/NRE-130916

Volgsten, U. (2012). The roots of music: Emotional expression, dialogue and affect attunement in the psychogenesis of music. Musicae Scientiae, 16(2), 200–216. https://doi.org/10.1177/1029864912440778

Volgsten, U., & Pripp, O. (2016). Music, memory and affect attunement: Connecting Kurdish diaspora in Stockholm. Culture Unbound: Journal of Current Cultural Research, 8(2), 144–164. https://doi.org/10.3384/cu.2000.1525.1608144

World Health Organization. (2017). Mental health of older adults [Fact sheet]. Retrieved from https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults

Zarate, R. (2016). Clinical improvisation and its effect on anxiety: A multiple single subject design. The Arts in Psychotherapy, 48, 46-53. https://doi.org/10.1016/j.aip.2015.11.005

Zanini, C. R. de O., & Leao, E. (2006). Therapeutic choir - A music therapist looks at the new millennium elderly. Voices: A World Forum for Music Therapy, 6(2). https://doi.org/10.15845/voices.v6i2.249

Zika, S., & Chamberlain, K. (1992). On the relation between meaning in life and psychological well‐being. British Journal of Psychology, 83(1), 133-145. https://doi.org/10.1111/j.2044-8295.1992.tb02429.x

Photo of the three authors Riabzev, Dassa, and Bodner

Published

2022-03-01

How to Cite

Riabzev, A., Dassa, A., & Bodner, E. (2022). "My Voice is who I am" - Vocal Improvisation Group Work with Healthy Community-Dwelling Older Adults. Voices: A World Forum for Music Therapy, 22(1). https://doi.org/10.15845/voices.v22i1.3125

Issue

Section

Research